Patient care before first appointment

Please continue to see your patient and arrange the relevant tests while they are waiting for their first appointment at the Women's.

Routine tests to order for your patient:

  • Blood  group and antibodies
  • Full blood examination
  • Ferritin
  • Hepatitis B serology
  • Syphilis serology
  • Rubella antibodies
  • HIV antibodies
  • MSU M&C
  • 19-22 week ultrasound

Tests for your patient that you might consider:

  • Haemoglobin electrophoresis and additional thalassemia testing
  • Hepatitis C antibodies
  • Varicalla antibodies
  • Vitamin D levels
  • Papsmear

Discuss Down syndrome testing and arrange if appropriate:

  • Early combined screening test (blood test in 10th week and ultrasound as 12 weeks) or a maternal serum screening test at 15-17 weeks
  • Diagnostic testing (CVS or amniocentesis) if a woman is 37 years or over at the expected date of confinement

Concerns regarding pregnancy ultrasound

If a woman's referral for pregnancy care at the Women's has been accepted, and you have concerns regarding the results of a pregnancy ultrasound scan performed in the community, we can assist you in the following ways:

  • Help with the interpretation of the ultrasound
  • Arrange a follow-up tertiary scan if required
  • Arrange an appointment for the woman to discuss the results with a hospital doctor or genetic services
  • Book a CVS or amniocentesis (if she has been counselled and consented by you). You need to provide the Shared Care Maternity  Coordinator with a letter with:
    • Woman's details
    • EDC
    • Your details, what is requested with reason and blood group

You are also welcome to contact the Shared Care Co-ordinator (contact details shown on this page).

Please note

  • Copies of all results should be provided to the patient before their first appointment.
  • Please advise patients to bring the results to their first appointment at the Women’s to facilitate complete clinical assessment.
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